Peter W Thompson III, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS16713 Issued in CA

Practice address

3109 Whitmore Ave
Ceres, CA 95307-9415

Phone

(209) 541-2496

Fax

(209) 985-6448

NPI assigned

Mar 12, 2007

Last updated

Nov 2, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pete Thompson Christian Counseling LLC

  • Clinical Social Worker
  • Lantana, TX
  • NPI 1447854286
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1518099753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 E WHITMORE AVE",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953072906",
            "telephone_number": "209-541-2496",
            "fax_number": "209-985-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 WHITMORE AVE",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953079415",
            "telephone_number": "209-541-2496",
            "fax_number": "209-985-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "PETER",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS16713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "LCS 16713",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tetzlaff Chiropractic, Inc.
• Stephen Patrick Tetzlaff, D.C.
• Richard James Thomason III
• John Thompson
• Nakisha Thompson, LVN
• Thrifty Payless Inc (Rite Aid Pharmacy 06003)
• Thriving Generations Licensed Clinical Social Worker PC
• Janet Toma
• Lesley Anahi Torres-Nunez
• Lizandra Torres

• Clinical Social Worker in Ceres, CA
• Providers in Ceres, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.